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. 1991 Nov;81(11):1399–1404. doi: 10.2105/ajph.81.11.1399

Language of interview: relevance for research of southwest Hispanics.

B Kirkman-Liff 1, D Mondragón 1
PMCID: PMC1405679  PMID: 1951794

Abstract

BACKGROUND. This paper reports the results of a survey investigating health status, access, satisfaction with care, and barriers to care in Arizona. The major focus is on the association between language of interview and the dependent measures; interviews were conducted in English and Spanish. METHODS. The differences between groups were tested using chi-square statistics for each independent categorical variable; the significance of all the independent variables on each of the dependent variables was tested simultaneously using maximum likelihood logistical regression models. RESULTS. Language of interview for Hispanic children was a significant variable, more important than ethnicity itself, in determining health status, access, satisfaction with care, and barriers to care; language of interview for Hispanic adults was not a significant measure, but neither was ethnicity. Instead, income affected access to care for adults. CONCLUSIONS. This pattern of results suggests that in the southwestern United States, studies on health status and access to care that use only ethnicity and do not include language of interview may fail to identify populations of Hispanic children who are remarkably more vulnerable. Public health research of Hispanic populations can be more instrumental toward policy improvement if it increases its specificity with this heterogeneous group. Analysis of language of interview has a low cost and a high benefit toward this specification.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aday L. A., Chiu G. Y., Andersen R. Methodological issues in health care surveys of the Spanish heritage population. Am J Public Health. 1980 Apr;70(4):367–374. doi: 10.2105/ajph.70.4.367. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Alonso J., Anto J. M., Moreno C. Spanish version of the Nottingham Health Profile: translation and preliminary validity. Am J Public Health. 1990 Jun;80(6):704–708. doi: 10.2105/ajph.80.6.704. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Andersen R., Lewis S. Z., Giachello A. L., Aday L. A., Chiu G. Access to medical care among the Hispanic population of the southwestern United States. J Health Soc Behav. 1981 Mar;22(1):78–89. [PubMed] [Google Scholar]
  4. Berkanovic E., Telesky C. Mexican-American, black-American and white-American differences in reporting illnesses, disability and physician visits for illnesses. Soc Sci Med. 1985;20(6):567–577. doi: 10.1016/0277-9536(85)90395-8. [DOI] [PubMed] [Google Scholar]
  5. Berkanovic E. The effect of inadequate language translation on Hispanics' responses to health surveys. Am J Public Health. 1980 Dec;70(12):1273–1276. doi: 10.2105/ajph.70.12.1273. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Deyo R. A. Pitfalls in measuring the health status of Mexican Americans: comparative validity of the English and Spanish Sickness Impact Profile. Am J Public Health. 1984 Jun;74(6):569–573. doi: 10.2105/ajph.74.6.569. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Giachello A. L., Bell R., Aday L. A., Andersen R. M. Uses of the 1980 census for Hispanic health services research. Am J Public Health. 1983 Mar;73(3):266–274. doi: 10.2105/ajph.73.3.266. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Hayes-Bautista D. E., Chapa J. Latino terminology: conceptual bases for standardized terminology. Am J Public Health. 1987 Jan;77(1):61–68. doi: 10.2105/ajph.77.1.61. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Hayes-Bautista D. E. Identifying "hispanic" populations: the influence of research methodology upon public policy. Am J Public Health. 1980 Apr;70(4):353–356. doi: 10.2105/ajph.70.4.353. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Hayes-Bautista D. E. On comparing studies of different Raza populations. Am J Public Health. 1983 Mar;73(3):274–276. doi: 10.2105/ajph.73.3.274. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Howard C. A., Samet J. M., Buechley R. W., Schrag S. D., Key C. R. Survey research in New Mexico Hispanics: some methodological issues. Am J Epidemiol. 1983 Jan;117(1):27–34. doi: 10.1093/oxfordjournals.aje.a113512. [DOI] [PubMed] [Google Scholar]
  12. Keefe S. E. Help-seeking behavior among foreign-born and native-born Mexican Americans. Soc Sci Med. 1982;16(16):1467–1472. doi: 10.1016/0277-9536(82)90061-2. [DOI] [PubMed] [Google Scholar]
  13. Patrick D. L., Sittampalam Y., Somerville S. M., Carter W. B., Bergner M. A cross-cultural comparison of health status values. Am J Public Health. 1985 Dec;75(12):1402–1407. doi: 10.2105/ajph.75.12.1402. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Scribner R., Dwyer J. H. Acculturation and low birthweight among Latinos in the Hispanic HANES. Am J Public Health. 1989 Sep;79(9):1263–1267. doi: 10.2105/ajph.79.9.1263. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Treviño F. M. Uniform minimum data sets: in search of demographic comparability. Am J Public Health. 1988 Feb;78(2):126–127. doi: 10.2105/ajph.78.2.126. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Wells K. B., Golding J. M., Hough R. L., Burnam M. A., Karno M. Factors affecting the probability of use of general and medical health and social/community services for Mexican Americans and non-Hispanic whites. Med Care. 1988 May;26(5):441–452. doi: 10.1097/00005650-198805000-00001. [DOI] [PubMed] [Google Scholar]

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